Fillable Plumbing-application-2019 CITY OF LITTLE ROCK

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Plumbing-application-2019 CITY OF LITTLE ROCK

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CITY OF LITTLE ROCK
DEPARTMENT
OF PLANNING & DEVELOPMENT APPLICATION FOR:
BUILDING
CODES DIVISION
723
WEST MARKHAM, 2ND FL PLUMBING PERMIT
LITTLE
ROCK, AR 72201
PHONE (501) 371-4840 OR (501) 371-4842
FAX (501) 371-4546 EMAIL: permits@littlerock.gov
OFFICIAL USE ONLY
PERMIT 2019
DATE ISSUED
ISSUED BY
INSPECTIONS
APPLICANT (Please Check)
READY WILL CALL
SLAB FINAL
ROUGH GAS
INSPECTOR'S COMMENTS
PROJECT ADDRESS:
PROJECT NO.:
LEGAL DESCRIPTION: LOT BLOCK SUBDIVISION
OWNER/TENANT: TELEPHONE:
ADDRESS: FAX:
CONTRACTOR: LI
CENSE NO.:
ADDRESS: TELEPH
ONE:
CLASS OF WORK:
NEW ADDITION REPAIR ALTERATION
PROPOSED USE (OCCUPANCY):
COMMERCIAL RESIDENTIAL MODULAR/MOBILE HOME 2
ND
PLUMBER
SQUARE FEET: COMMENTS:
DESCRIPTION QTY. UNIT D
ESCRIPTION QTY.
UNIT
COST
COST
1. EACH FIXTURE
5.40
12. ADD. OPNGS. WHP GHP DWV
5.40
2. WATER SERVICE DOMESTIC
26.95
13. FLOOR FURNACE
16.25
3. WATER HOUSEPIPING
26.95
14. UNIT HEATER
16.25
4. WATER STANDPIPE
(REQUIRING ADDITIONAL METER)
26.95
15. WALL FURNACE
16.25
5. BACKFLOW PREVENTION DEVICE
26.95
16. COMMERCIAL DRYER
16.25
6. SUMPS
7.55
17. COMMERCIAL RANGE
16.25
7. SWIMMING POOLS
12.95
18. WATER HEATER
16.25
8. RENEW SOIL LINE
7.55
19. MISCELLANEOUS
16.25
9. RENEW GAS VENTS
7.55
20. INSPECTIONS (REQUIRED)
2
1.55
10. GAS HOUSEPIPING
26.95
21. DATA PROCESSING FEE (REQUIRED)
$
5 RES OR $7 COMM
11. DRAIN (TRUNK LINE ONLY)
15.75
22. INVESTIGATIVE INSPECTION
43.05
NOTICE: SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, GAS, PLUMBING AND HVACR WORK.
I hereby certify that the data submitted on or with this application is true and correct. Any deviation from information contained herein, unless approved by the
Building Official will render this permit null and void.
SIGNATURE OF CONTRACTOR, OWNER OR AGENT DATE REVISED 1-19
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Plumbing-application-2019 CITY OF LITTLE ROCK

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Completed 5 March 2020

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